Jothis C Jose, MD in Oak Creek, WI - Medicare Family Practice

Jothis C Jose, MD is a medicare enrolled "Family Medicine" physician in Oak Creek, Wisconsin. He graduated from medical school in 2011 and has 14 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Lakeshore Medical Clinic Llc and his current practice location is 200 E Ryan Rd, Oak Creek, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (414) 570-3590.

Jothis C Jose is licensed to practice in Wisconsin (license number 62540) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1306130737.

Contact Information

	Jothis C Jose, MD
	200 E Ryan Rd, Oak Creek, WI 53154-4563
	(414) 570-3590
	Not Available

Map and Direction

Physician's Profile

Full Name	Jothis C Jose
Gender	Male
Speciality	Family Practice
Experience	14 Years
Location	200 E Ryan Rd, Oak Creek, Wisconsin
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jothis C Jose graduated from medical school in 2011

NPI Data:

NPI Number: 1306130737
Provider Enumeration Date: 06/02/2011
Last Update Date: 11/10/2023

Medicare PECOS Information:

PECOS PAC ID: 6608098355
Enrollment ID: I20141112001708

Medical Identifiers

Medical identifiers for Jothis C Jose such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306130737	NPI	-	NPPES
100040107	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	62540 (Wisconsin)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Aurora At Home	Milwaukee, WI	Home health agency
Aurora St Lukes Medical Center	Milwaukee, WI	Hospital
Aurora Medical Center Kenosha	Kenosha, WI	Hospital
West Allis Memorial Hospital	West allis, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Lakeshore Medical Clinic Llc	7719890730	293

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jothis C Jose allows following entities to bill medicare on his behalf.

Entity Name	Lakeshore Medical Clinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003861188 PECOS PAC ID: 7719890730 Enrollment ID: O20031106000481

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jothis C Jose is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jothis C Jose, MD Po Box 735044, Chicago, IL 60673-5044 Ph: () -	Jothis C Jose, MD 200 E Ryan Rd, Oak Creek, WI 53154-4563 Ph: (414) 570-3590

Reviews and Comments

Family Medicine Doctors in Oak Creek, WI

Shereen Mohis, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 E Ryan Rd, Oak Creek, WI 53154 Phone: 414-570-3590
Dr. Jessica Lynn Woznick, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7901 S 6th St, Oak Creek, WI 53154 Phone: 414-346-8000 Fax: 414-346-8010
Dr. Agnes Prospere, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 200 E Ryan Rd, Oak Creek, WI 53154 Phone: 414-570-3590
Heather Butler, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8020 S Howell Ave, Oak Creek, WI 53154 Phone: 414-647-3920
Sara Hasan, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7901 S 6th St, Oak Creek, WI 53154 Phone: 414-346-8000
Veronica Tent, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7901 S 6th St, Oak Creek, WI 53154 Phone: 414-346-8000
Deborah A Luetzow, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2413 W Rawson Ave, Oak Creek, WI 53154 Phone: 414-333-0064

Jothis C Jose, MD - Medicare Family Practice in Oak Creek, WI